Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $165.60 / $335.16	Facility		$32.65	$165.60	$335.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $27.45 / $73.37	Professional		$24.37	$27.45	$73.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.63 / $57.63 / $57.63	Facility		$57.63	$57.63	$57.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $23.95 / $29.94	Professional		$15.25	$23.95	$29.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $18.19 / $18.19	Facility		$18.19	$18.19	$18.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $20.86 / $83.44	Professional		$20.86	$20.86	$83.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $80.31 / $134.57	Facility		$73.01	$80.31	$134.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $46.94 / $185.00	Professional		$18.77	$46.94	$185.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $18.19 / $73.01	Facility		$18.19	$18.19	$73.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $20.86 / $30.14	Professional		$20.86	$20.86	$30.14
United Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $41.72 / $62.94	Professional		$13.12	$41.72	$62.94